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General NPI Number Information
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NPI Number | 1831220011
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH IANNUCCI D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 4100 N MAIN ST STE 102
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City | COLUMBIA
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State | SC
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Zip | 29203-5800
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Country | US
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Telephone | 803-223-9895
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Fax |
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Provider Business Mailing Address
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Address Line | 6255 W SUNSET BLVD FL 21
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City | LOS ANGELES
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State | CA
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Zip | 90028-7422
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Country | US
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Telephone | 323-860-5200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 40704
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 0102202324
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS10011
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0102202324
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License Number State | VA
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